Multimodal Care May Help Some People
A 2011 systematic review in the Journal of Headache and Pain found that manual therapies including spinal manipulation, massage, and physiotherapy may be comparably effective to propranolol and topiramate for prophylactic migraine management.
A pilot randomised controlled trial published in Cephalalgia found that multimodal chiropractic care reduced migraine days by an average of 2.9 days compared with 1.0 day in the usual-care group.
